We provide in office:

• Lab tests
• X-Ray services
• Custom made Splints
• Sutures (stitches)
• Wound care
• Infant male circumcision
• Medical grade ear piercing
• Lung function testing
• EKGs
• Hearing & Vision Screening
• ADD/ADHD evaluation & management

For well child care, we recommend the following schedule for checkups and vaccinations:

• Well Baby Visits
• Well Child Visits
• Well Pre-Adolescent and Adolescent Visits
• Checkups
• Immunization Abbreviations
• Vaccine Information and Resources
• Post Vaccination Care
• Vaccine Reactions

• Newborn Hospitalization- Admission history & physical, daily hospital visits, optional male circumcision, discharge examination & instructions.
• 1 week- checkup, neonatal metabolic screening (heelstick blood test)
• 1 month- checkup
• 2 month- checkup, vaccines
• 4 month- checkup, vaccines
• 6 month- checkup, vaccines
• 9 month- checkup, complete blood count to check for anemia (fingerstick blood test)
• 12 month- (Has to be on or after the first birthday) checkup, vaccines
• 15 month- checkup, vaccines
• 18 month- checkup, vaccinations only if your child is behind

• 2 years- checkup, optional Hepatitis A #1 (Hepatitis A #2 given 6-12 months later)
• 3 years- checkup
• 4 years- (Has to be on or after the 4 th Birthday) checkup, hearing & vision screen, vaccine boosters
• 5 years- checkup, Review for Kindergarten readiness
• 6-8 years- yearly checkups

• 9-18 years- yearly checkups
• Tetanus booster at 14 years
• Chicken pox vaccine (if no history of chicken pox)
• Hepatitis B Series if not already given
• Cholesterol screen, CBC, and urine dip at 14 years

A physical includes a head to toe exam, review of past illnesses, refills of maintenance medications, developmental and speech screening, vaccinations (if due), and a growth check on the growth chart. Starting at age 4, blood pressure readings are checked with the yearly physical.

• DTaP- Diphtheria, Tetanus, and acellular Pertussis
• IPV- Inactivated Polio Virus Vaccine
• Comvax- Hepatitis B, and Hib (Haemophilus B) combined
• MMR- Measles, Mumps, Rubella
• Varivax- Chicken Pox (Varicella)
• Prevnar- Pneumococcal vaccine
• Pediarix- DTaP, Polio, and Hepatitis B combined
• HepA- Hepatitis A
• HepB- Hepatitis B

For information regarding vaccines, their importance, and when they are due, please visits these internet sites.

www.aap.org ( American Academy of Pediatrics)

www.cdc.gov (Center for Disease Control)

www.vaccineinfo.com (Vaccine Coalition)

After vaccines are given, it is normal to have redness, swelling, tenderness, or knots at the injection site. Occasionally, an entire leg may swell. These are all normal side effects. Warm compresses or soaks in the tub will help.

Fever is common following vaccination as well. The fever can be low grade (100-101) to as high as 104 with certain vaccines. You may give your child Tylenol (acetaminophen) or if your child is over 6 months you may use Advil (ibuprofen). Use the dosing chart based on weight, not age.

The 12 month vaccines of MMR and Varivax are live vaccines and usually cause more fever and malaise than other vaccines. This should pass within 48 hours. A small percentage of children will break out in a rash that looks like either measles or chicken pox along with a fever up to 103 anywhere from 10 days to 3 weeks following vaccination with MMR and Varivax. If your child should develop a rash from these vaccines, your child is not contagious except to people with very weak immune systems.

Notify us immediately if your child runs a fever over 104, is inconsolable for more than 3 hours, or develops hives within 1-2 days following vaccination.